Provider Demographics
NPI:1497784144
Name:MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL
Other - Org Name:MERCER HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/COO
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:DINGLEDINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-678-5104
Mailing Address - Street 1:800 W. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:OH
Mailing Address - Zip Code:45828-1698
Mailing Address - Country:US
Mailing Address - Phone:419-678-2341
Mailing Address - Fax:419-678-3271
Practice Address - Street 1:800 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:OH
Practice Address - Zip Code:45828-1698
Practice Address - Country:US
Practice Address - Phone:419-678-2341
Practice Address - Fax:419-678-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6639605Medicaid
OH360058Medicare ID - Type Unspecified
OH0968896Medicaid